Nitric oxide-cyclic GMP contributes to abnormal activation of Na+-K+-ATPase in the aorta from rats with endotoxic shock

Shock. 2005 Feb;23(2):179-85. doi: 10.1097/01.shk.0000148071.73975.38.

Abstract

We examined pharmacologically the influence of nitric oxide (NO), guanosine 3':5'-cyclic monophosphate (cyclic GMP), adenine 3':5'-cyclic monophosphate (cyclic AMP), and protein kinase C-linked signaling pathways on relaxation to potassium in aortic segments isolated from rats treated for 6 h with bacterial endotoxin (lipopolysaccharide). Endotoxemia for 6 h was associated with a severe hypotension and vascular hyporeactivity to norepinephrine (NE), and an increase in plasma NO in vivo and aortic NO ex vivo. The NE-induced contraction was attenuated and the potassium-induced relaxation was accentuated in the aorta of rats with endotoxic shock. Ouabain inhibited the potassium-induced relaxation in aortae from normal and endotoxemic rats. 8-Bromo-cyclic GMP significantly enhanced the potassium-induced relaxation in control aortae, whereas 1H-[1,2,4]oxadiazolo[4,3-a]quinoxalin-1-one (ODQ) abolished this difference between normal and endotoxemic rats. In contrast, inhibition of potassium-induced relaxation was observed in aortae from normal and endotoxemic rats treated with 8-bromo-cyclic AMP or phorbol 12-myristate 13-acetate. Individually, inhibitors of protein kinase A or protein kinase C did not significantly alter relaxation to potassium; however, in combination, these inhibitors significantly potentiated relaxation in aortae from control rats. These results suggest that activity of Na(+)-K(+)-ATPase is enhanced in the vascular bed of animals with endotoxic shock and that this elevation in activity is mediated by NO-cyclic GMP, but not by cyclic AMP-protein kinase A or protein kinase C.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Aorta / enzymology*
  • Cyclic AMP-Dependent Protein Kinases / metabolism
  • Cyclic GMP / metabolism*
  • Dose-Response Relationship, Drug
  • Endotoxemia / metabolism
  • Endotoxins / metabolism
  • Enzyme Activation
  • Enzyme Inhibitors / pharmacology
  • Male
  • Nitrates / metabolism
  • Nitric Oxide / metabolism*
  • Ouabain / pharmacology
  • Oxadiazoles / pharmacology
  • Potassium / chemistry
  • Potassium / metabolism
  • Potassium / pharmacology
  • Protein Kinase C / metabolism
  • Quinoxalines / pharmacology
  • Rats
  • Rats, Inbred WKY
  • Shock, Septic
  • Signal Transduction
  • Sodium-Potassium-Exchanging ATPase / metabolism*
  • Tetradecanoylphorbol Acetate
  • Time Factors

Substances

  • 1H-(1,2,4)oxadiazolo(4,3-a)quinoxalin-1-one
  • Endotoxins
  • Enzyme Inhibitors
  • Nitrates
  • Oxadiazoles
  • Quinoxalines
  • Nitric Oxide
  • Ouabain
  • Cyclic AMP-Dependent Protein Kinases
  • Protein Kinase C
  • Sodium-Potassium-Exchanging ATPase
  • Cyclic GMP
  • Tetradecanoylphorbol Acetate
  • Potassium